- Molina Healthcare (Yonkers, NY)
- …M/F/D/V. Pay Range: $21.16 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Represents Member issues in areas involving member impact and engagement including: New Member Onboarding, member plan benefits education, and the development/maintenance of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new… more
- Mount Sinai Health System (New York, NY)
- …rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual ... orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported.… more
- Molina Healthcare (NY)
- …Pay Range: $107,028 - $250,446 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Project management includes estimating, scheduling, costing, planning, and issue/risk management. **KNOWLEDGE/SKILLS/ABILITIES** + Ability to provide strategic leadership on projects while also managing multiple, complex challenging projects and managing… more
- Molina Healthcare (Rochester, NY)
- …Pay Range: $80,412 - $188,164 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure… more
- Baylor Scott & White Health (Albany, NY)
- …+ Proficiency in data science tools and languages (Python, R, SQL, cloud- based environments). + Strong understanding of predictive modeling, machine learning, and ... AI, including emerging approaches such as agentic AI. + Exceptional communication skills with demonstrated ability to influence organizational leaders and inspire adoption of solutions. + Track record of mentoring and building team capability. + Self-starter… more
- Molina Healthcare (NY)
- …Pay Range: $97,299 - $227,679 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure… more
- Molina Healthcare (Syracuse, NY)
- …Pay Range: $64,350 - $106,214 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for coordinating, conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports for filings; reviewing Plan submissions for quality,… more
- Molina Healthcare (Buffalo, NY)
- …Pay Range: $97,299 - $227,679 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... **Job Summary** Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in… more
- Molina Healthcare (Buffalo, NY)
- …M/F/D/V. Pay Range: $21.16 - $46.42 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Provide customer service to plan members, providers, and employer groups by answering benefit questions, resolving issues… more
- Molina Healthcare (Yonkers, NY)
- …Pay Range: $80,412 - $188,164 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior… more
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